Physicians writing on KevinMD about the life of the profession: the work itself, the exhaustion, what women physicians are paid and asked to carry, the losses the profession has been slow to name, and who decides how physicians work. Five maintained records draw on this archive: Physician burnout: what physicians say, in their own words, Primary care: what physicians say, in their own words, Women in medicine: what women physicians say, in their own words,, Physician suicide: what physicians say, in their own words, and Physicians and administrators: what physicians say about who runs medicine, in their own words.
My tribe consists of competitive overachievers. We used to call them “gunners” in medical school, and Gunners tend to be morning people, or “larks.” Let’s be honest; people are impressed by those who are up at 4 a.m., training for their next ultramarathon before heading to their noble jobs. A typical conversation among neurosurgeons at a morning conference might go something like this:
Ned: “How are you this morning, Rena?”
Rena: “Great, …
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Neurosurgeons fail to fix a wayward night owl
As a physician, I am given both the gift and the burden of another’s most intimate moments or even their indiscretions. There is a cloak of invisibility that wraps around a patient and me when behind a closed door. Almost as if the concept of guilt, innocence, opportunity, loss, life, and death are all present together with us in a room, while the rest of the world goes on outside. …
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Navigating life stories and medical decisions
There has always been a “fight club” because there have always been medical malpractice lawsuits. They are predicated on complications, either errors of nature or medical errors, and no doctor is immune. In the United States, roughly 85,000 medical malpractice lawsuits are filed per year, and there are 1 million doctors. For any doctor, the background risk for a medical malpractice lawsuit is 8.5% per year.
Are these statistics acceptable to …
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A scientific approach to malpractice defense
“Oh, I didn’t know you’re a writer,” my neighbor said as I handed her a complimentary copy of my recently published book.
“Not really,” I replied. “I’m just a physician who likes to write.”
The conversation ended, but later, I began to think: What’s the difference between a physician writer and a writer who is a physician? What should I say to somebody else who makes a comment like my neighbor? I …
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Let’s close the gap between physician writers and writers who are physicians
In the high-pressure health care environment, finding purpose and fulfillment is a significant challenge. The Japanese concept of ikigai offers a unique perspective, helping health care professionals discover deeper meaning in their work and personal lives. This article explores ikigai’s essence, its benefits and challenges in health care, and practical steps for embarking on this transformative journey.
Understanding ikigai
Ikigai is a Japanese term …
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Ikigai in health care: Mastering work-life balance and purpose for medical professionals
I regretfully told my 65-year-old patient in the preoperative area, “I’m going to have to cancel your case.” We both knew this was coming. He suffered from a large inguinoscrotal hernia that was symptomatic but not dangerous, a condition that had threatened his welfare for the past several months. Given his education level and social issues, his career prospects were limited to manual labor. I sensed his desperation to return …
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The shoulders of giants
The unfolding events in Gaza, Israel, and the West Bank present a complex and deeply concerning situation. The entire area is smaller than the state of Vermont. My experiences in the West Bank, supported by a U.S. Scholar Fulbright award, have given me firsthand insight into the disruptions faced by individuals in these regions. The war may be focused in Gaza, but routine life is also disrupted in the West …
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Advocating for health and humanity: a physician’s call to action amidst conflict
A mere week following the events of October 7, I heeded the call to volunteer at a medical facility nestled on the shores of the Dead Sea. As a medical practitioner, my sense of duty compelled me to extend my expertise to those in need. What made this mission truly distinctive was the presence of my 15-year-old daughter, Hadar, who had taken on the role of clinic administrator. An exceptional …
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Volunteering near the Dead Sea: compassion amid refugees
Meditation is a hot topic with deep roots, but sometimes it feels like it’s being pushed as a modern-day version of snake oil for what ails the spirit. Often touted as an antidote to burnout, many of us know that a meditation app won’t solve the systemic issues plaguing health care today, leading some physicians to be skeptical.
I was introduced to mindfulness meditation years ago while practicing yoga. Initially, making …
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Meditation: the ancient practice with science-backed benefits
The practice of medicine has always been difficult. In the best of times, physicians must make fast decisions under very stressful conditions. Every time a doctor navigates a crisis, they reflect on what decisions they made and how they might improve. At least the good ones do. This soul-searching often involves discussions with colleagues and staff on the events and decisions made.
Mortality and morbidity discussions, M&M as we say, are …
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Navigating the new minefield of ER medical practice
I met Dr. David Zylneck through a mutual friend when he was in the final year of his pediatrics residency. Even as a trainee, he was heavily involved in international relief work and had made several trips to Southern Africa. Over time, Dr. Zylneck and I lost contact as our careers took us in different directions. Several years later, as I was about to move to a new location to …
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Confirmation bias can lead to wrong conclusions
In a recent essay, I marveled at the qualities that will set apart tomorrow’s physicians from previous generations. And while everything I wrote I believed to be true, I suppose I neglected a major concern, a big blind spot as it were. In order to become clinicians, medical students must first enter practice. That seems obvious, but a recent report gives reason to pause and reflect on medical students’ …
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The physician of the future may not be a clinician
My practice is about to change to a new electronic health record, and I can’t help but feel dread. The last time we did this, it was so stressful. I really don’t want to go through it again. What do I do? How do I prepare? Here is what I’m doing to get ready. I think it’s a good strategy for managing change in general, and I hope it helps …
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Surviving an EHR upgrade
The topic of the health care crisis has dominated the media in recent years and will likely continue to be of great interest. This issue must remain relevant. However, without united action, the health care crisis and burnout may end up like the topic of global warming – frequently discussed but often politicized and inadequately addressed.
The global warming crisis, as seen in headlines, has been described as scientists warning that …
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Addressing the health care crisis and global warming
It’s the early 1980s.
My homeland Iran is torn apart between a bloody revolution and a looming war. The militia of the Islamic regime raids houses overnight and arrests politically active people. We hear rumors that they’re tortured and pressured to rat out friends and family. Young people disappear one by one, and some of them never come back. People are terrified. We’re scared of our neighbors, friends, teachers, and each …
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From “reverse” to “self” leadership: a journey of survival and thriving
This is the story of an addiction, one that walks the fine line between construction and destruction. It’s a tale of work addiction, a cautionary tale for those who find themselves choosing work over home or self. But the narrative doesn’t end there, for it remains perplexing how work, while constructing livable lives for those ensnared by its allure, simultaneously dismantles their existence.
The addicted seek solace in mythologies that exalt …
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The perils of work and research addiction
